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Individual

MRS. SUSAN MARIE ABERNATHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
1 VILLAGE SQUARE CTR, SUITE A, HAZELWOOD, MO 63042-1817
(314) 731-4555
(314) 551-6110
Mailing address
1 VILLAGE SQUARE CTR, SUITE A, HAZELWOOD, MO 63042-1817
(314) 731-4555
(314) 551-6110

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
104631
MO

Other

Enumeration date
08/13/2010
Last updated
08/13/2010
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